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Home My WebLink About6265 W. 45th AvenueCity of Wheat Ridge 77�;940 Residential Mechanic PERMIT - 201800203 PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: 201800203 6265 W 45th AVE Replace furnace 960, 80K BTU; ISSUED: Install ACPunniit 2.5 01/19/2018 to01/19/2019 *** CONTACTS *** OWNER (303)514-7472 SUB (303)680-5300 PASTOR JEFF James Moore 130111 Moore Heating & A/C, Inc. *** PARCEL INFO *** ZONE CODE: SUBDIVISION CODE:2405 UA / Unassigned / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: UA / Unassigned 0 / *** FEE SUMMARY *** Total Valuation Use Tax ESTIMATED PROJECT VALUATION: FEES 0.00 8,785.00 Permit Fee ** TOTAL188.45 ** 184.49 372.94 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec.R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms level of the structure. , and on every I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and al] applicable municipal codes, policies and procedures, and that I am the legal owner or have been by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as partes to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or 1`kACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying lans and specifications and is subject to the compliance with those documents, and all a licabl 2. This permit shall expire 365 days after the date of issuancepregardless of actiovity, Requests fortextension must be made in writing and rdinances regulations, po ides and procedures. received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. ;. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject, to the standard requirements, fees and procedures for approval of any new permit. IS or extension of expired permits is at the sole discretion of the Chief Building Of and is not guaranteed. i. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or.&gulation of this jurisdiction. Approval of work is subject to field inspection. s y. ignature of Chief Building Official ? Date ''QUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. FOR OFFICE USE ONLY City Of Date: Wheat p,Y COMMUNITY DEVELOPMENT Z �W� Plan/Permit #in Building & Inspection Services Division ` 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Plan Review Fee: Inspection Line: 303-234-5933 Email: j2ermits(-5ci-wheatridge.co.us Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner (please print): c � 5 �� ,- � Property Owner Email: Phone: � yJ Mailing Address: (if different than property address) Address: J 41M iC State, Zip: Archilp- t ngin� Architect/Engineer E-mail: Contractor: '0 is a 4 f4 ewvA j h �c Contractors City License #: Phone: Phone: 3 c S C` 0 -10& o Contractor E-mail Address: �^ t-1 p 0 R'Wr For Plan Review Questions & Comments (please print): CONTACT NAME (please print): J h C 3c3 646)_57 `� Phone: joc CONTACT EMAIL(please print): � 2'1/�, o �2 -fc i -r 0, f Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # City License # Plumbing: W.R. City License # Other City Licensed Sub: Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work:, (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) R eyi-4-<4- Sq. Ft./LF Amps Btu's F6, / W Gallons Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) :JTRACTOR) or (AUTHORIZED REPRESENTATIVE) Of (OWNER) (CONTRACTOR) Signature (first and last name): DATE / r 19-4 I", DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer. OCCUPANCY CLASSIFICATION: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ 45o, A-1,.'Q0.'=CTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 F2c_c upanc�ype get: - Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Comments -- . ....-,.J. s-lu v, ualuw/n1-oidu vvorK rrlor 10 Annmval f1f Tha Ahn."e L,�......aC Rough inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof �' } Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occu pancy. 'For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The V"" r City of Wheat Ridge Residential Roofing PERMIT - 201703133 'ERMIT NO: 201703133 ISSUED: 07/03/2017 OB ADDRESS: 6265 W 45th AVE EXPIRES: 07/03/2018 [OB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm Class 4 asphalt shingles with 34.66 sq. (33 sq. pitched, 1.66 sq. flat) CONTACTS *** )WNER (303)667-8912 HARRISON PATRICK A 021001 Roof Corp of Metro Denver Inc. 3UB (303)548-5000 Alan Parkes ** PARCEL INFO *** ONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / k** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 17,480.00 FEES Total Valuation 0.00 )se Tax 367.08 Permit Fee 331.10 — TOTAL ** 698.18 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice a-iu water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspectior;s. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. i CITY OF WHEAT RIDGE Vr Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M I i) Job Address: 61-7- GS (/_j L/7T/ Ave Permit Number: 313? ❑ No one available for inspection: Time (j 3I/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 30-234- Date:- 1 1 Inspector: S. City of Wheat Ridge Residential Roofing PERMIT - 201703133 PERMIT NO: 201703133 ISSUED: 07/03/2017 JOB ADDRESS: 6265 W 45th AVE EXPIRES: 07/03/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm Class 4 asphalt shingles with 34.66 sq. (33 sq. pitched, 1.66 sq. flat) *** CONTACTS *** OWNER (303)667-8912 HARRISON PATRICK A SUB (303)548-5000 Alan Parkes 021001 Roof Corp of Metro Denver Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 17,480.00 FEES Total Valuation Use Tax 0.00 367.08 Permit Fee 331.10 ** TOTAL ** 698.18 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201703133 PERMIT NO: 201703133 ISSUED: 07/03/2017 JOB ADDRESS: 6265 W 45th AVE EXPIRES: 07/03/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm Class 4 asphalt shingles with 34.66 sq. (33 sq. pitched, 1.66 sq. flat) 1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this pennrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed d th t`all wot•c] to be performed is disclosed ' Ails document and/or its' accompanying approved plans and specifications. cam' Signature of OWNER or CONS NOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicab or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Y Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Wednesday, June 21, 2017 11:53 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number 6265 W. 45h Ave Pat Harrison 303-667-8912 � 6?&-. q� 1 V. - Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Roofcorp of Metro Denver, Inc. 021001 303-766-2444 Contractor Email Address permits@roofcorpinc.com Retype Contractor Email permits@roofcorpinc.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material: If "Other" is selected above, describe here: No ✓ Owens Corning Duration Storm, Class 4 Shingle Asphalt Field not completed. How many squares of the 33 material selected above? Does any portion of the Yes ✓ property include a flat roof? If yes, how many squares 1.66 on the flat roof? z TOTAL SQUARES of all roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roofitch? Etc) 34.66 V 6:12 pitch on house, 1:12 (1.66 SQ) p Project Value (contract 17480 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Victor Aguilar Email not displaying correctly? View it in your browser. 3 �85 S. Colorado Blvd, Ste 240 6890 South Tucson Way %' Denver, CO 80222 91 Centennial, CO 80112 (303) 766-2444 � �OOFCORP Of Metro Denver Inc. Not just another house... BBB1 It's your home! AGREEMENT FOR ROOF INSTALLATION Gold Star Award A+ Rating ADDRESS: <C_ �' (J. � t)/y? City ;t% ik%r k As ip -Y3 DATE: 6-4 / �- OWNER: �,ti �Sy i SALES REP: PHONE: work/email: If this contract is for an insurance or manufacturer defect claim, AGREEMENT SHALL BE CONTINGENT UPON INSURANCE COMPANY OR MANUFACTURER APPROVAL. Roofcorp Inc. hereby agrees to supply all materials and labor necessary to install goof as specified below: New roofing material: manufacture . tri tNtaal= � rating: l color:, ✓ Remove and dispose of existing layers of shingles ) wood shake other Install new manufacturer approved underlayments on entire roof. Feltgrade shall be # 'W/ Remove existing valley and replace. New valley material shall be Ut Mise items: New plywood/OSB decking shall shall not—Ju—be installed. Remove trash and debris from property and use magnetic sweep for nails. Replace/install new flashing as required by code. In addition to manufacturer warranty, Roofcorp will provide ❑ 2 Rh:� 5 year transferable workmanship warranty. In the evert there are hidden layers of existing roofing found, damdged decking is replaced, damao /deteriorated siding is replaced, code upgrades are required, or other mise repairs are needed, customer understands that Roofcorp shall submit a supplemental claim to insurance company and shall be paid full recovered amount of supplemental claim including overhead profit. In the event that said required additional items are not recovered from insurance company, customer agrees to reimburse Roofcorp for said repairs on material and labor basis. Insurance Company/Manufacturer:t�CLAIM # n .l Phone: C r /7 .-I-) Fax: Type Of Loss Adjuster Name: Adjuster Phone M Email: Full Replacement Coverage Yes No , Actual Cash Value Coverage Yes No �_, Code Upgrade Coverage Yes� No Roofcorp hereby agrees to replace roof to above specifications for insurance company RCV (Replacement Cost Value) te S,{, ✓!. c -i l•�'cv TOTAL $ �' d� TOTAL ARPROVED kiNNSURAl/3NCE $ Payment terms: Payment is due upon completion and shall be cash or check. In the event the city inspections are delayed, customer agrees to pay 90% of contract price (or first insurance check) within 10 days of completion and balance once inspection is closed olit. If payment is made with credit card there shall be an additional charge of 1.5% added to balance paid. r1 �` na:e. � 7" L2.,��[ -✓�>i. f9 PLEASE MAKE ALL PAYMENTS PAYABLE TO "ROOFCORP' i) Once signed by b ,.- z_ . _ agreef-. . _gid+ ne,4 e a ,aya y -_ ii) Replacement of can ce.. ,,:g shah be an ocd:ucnai change of no less tha^ S40 per sheet. Vents, flashing etc not required by code shall be additiona iii) This contract constitutes entire agreement. No changes or verbal otherwise shafi ce shall be part of this contract unless agreed upon by both parties in writing. In the even: a _ - a-:; =� iv) Homeowner has the right to cancel this contract in writing within 3 days of installation or matenais are restocked. owner s^� c. __ _-_ _ signing with no penalty. pay a 20% cancellationkestocking fee based on re,a;- v) Warranties are as stated above and shall be limited to exterior repairs only. value. In addition, owner shall be responsible for ail fegat. a -_-e, Interior damage shall not be covered under said warranties. court and collection agency fees required to collect said deco vi) Homeowner is hereby notified to remove all pictures, mirrors, breakables from walls or Said fees shall be added to total amount owed. shelves. Homeowner also understands that there may be significant amounts of dust and debris which will fall into attic andfor garage and should cover or remove items as necessary. viii) Owner understands that not all claims are approved.//�� Initials Initials i CITY OF WHEAT RIDGE _:��Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: gOF Job Address: G A Permit Number: 2U 7 61 ❑ No one available for inspection: Time /PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: 7alo( Inspector: /V DO NOT REMOVE THIS NOTICE r w neINSPECTION s will not be performedunless t. aline before 11 .59 p.m, to receive i M s : !, . r.,. mw IM Ito KI M 5i IS .0'E 13a k roof 15 ses wit0 'a PAYMENT RECETVU, Kew ,, 1615 RUTH CODE 83i4'4" TOTAL • r �e 1W & Drainage / Public Works DepL inspection I Fire ProtectionDist, k� # arr a s #♦ « - N—B—z' Occupancy Is Not Permitted Until A Certificate of 00cupancy Is Issued A i CITY OF WHEAT RIDGE ' Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: R O F Job Address: W `i S V: Permit Number: QO 1 (o Ll 0 C4 `nom tz q . � �r n r � � L) to f �+ Io aha J ❑ No one available for inspection: Time S/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: nspec _T DO NOT REMOVE THIS NOTICE /5i ii �kyFr<S A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: (Y1 I b Job Address: (tea (�:' S W, tis')A Permit Number: 001c, 0 I') J S ;-Y1 ID )2'.1?Fro\/ rp ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE Building Permit Application 011cations*0V not be, processed. Property Address: - o.45 \.\/ 451" A"t� tropprity_! ?al�,qe 0- !�rler (pt __. Property ownertmatt. Al A limil 11111 p! - I I I! ri I I I I i 11111 � I I Ill! I 1! 11!11111111 EM =. I : i i zz, Address: S 4 C AS At3OVC 2!ty, �State, �Zi- Vj i. Architect/Engineer Contractor: 00 Contractors City License #: 021001 Phone Contractor E-mail Address: (Of q ',,C « cry Sub Contractors: Electrical. Plumbing: Mechanical: W.R. City License # W.R. City License # WR City License # Other City Licensed Sub- Other City Licensed Sub: City License # City License # Complete an information on BOTH sides of this form 0 COMMERCIAL 0 RESIDENTIAL 0 NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE NEW RESIDENTIAL STRUCTURE C MMERCIAL ROOFING COMMERCIAL ADDITION ESIDENTIAL ROOFING RESDENTIAL ADDITION lrw INDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT 0 OTHER (Describe)_ (For ALL projects, please provide a SLeftailgd description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and %-ro! amount of materials to be used,—Pisednewcondition,la size and eff`icienc&-XvXeizv#-' 9/12. Sq. FtJLF Btu's Gallons Amps Squares Other Protect Value: lContrarl vvitin * i, il'a, "I i6ki6&16h&6"J& $ '' 1 6, zslo - OWNER/CONTRACTOR, SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this penult application are accarate and do not violate applicable (ndmances, rules w regulations of the City of Wheat Ridge or covenants, casements or restrictions of record. that all measurements shown arid adegations made are accurate, that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheal Ridge codes and undinances lbr work under any permit issued based on this application- that I am the legal owner or have bcca authorized by the legal owner 01"he property to perfiann the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this apfificadom L the applicant for this, building pertnit application, warrant the truthfulness of the inforillation provided 0�, "plication, ep 'TR �*) C1, R CL E ONE: (0 H "NE R) 0 N TRA4 C �TOR)P'—qr (A V T11 0, R W D REP PR ES FN T 4 TJ VE) of (0 1 f 7 VER) (CO Al TR, 4 C TO R) (first and lost name): 1- 1, - DATE: ZIA OCCUPANCY CLASSIFICATIM Building Division Valuation: $ . ... .. Underground /Slab Inspections Date Inspector Initials ; Comments Electrical (Underground) �I Sewer Service (Underground) Water Service (Underground) Plumbing (Below/ In slab) Heating (Below/ In -slab) ' City of Wheat Ridge Residential Roofing PERMIT - 111409 PERMIT NO: 111409 ISSUED: 11/16/2011 JOB ADDRESS: 6265 W 45TH AVE EXPIRES: 11/15/2012 DESCRIPTION: Re -roof with O.C. Pro 30, 17.91 squares * ** CONTACTS * ** owner 303/437 -3189 Pat Harrison gC 303/789 -1107 Mike DeGidio 02 -1574 COLORADO PREMIER ROOFING ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0378 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 6,040.00 FEES Permit Fee 156.75 Total Valuation .00 p Use Tax 108.72 ** TOTAL ** 265.47 Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. Subject to field inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and /or its' accompanying approved plans and specifications. Signature of OWNER or CONTRALTO (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Bull ical Date INSPECTION REQU T LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. g - City of r � heat e Date: --^`' COMMUNITy DEVELOPMENT Plan # Building & Inspection Services Division Permit # 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Property Address a� 5/S/�'IiF Property Owner (please print): `�7- Phone: 5 -5 37- 31 Mailing Address: (if different than property address) Address: City, State, Zip: Contractors City License � Phone: J 7 P�?-/ /a; S Contractors_ Electrical. Plumbing: Mechanical: City License # City License# City License # Des�rlptionofinlork Contract Value: $ c.�, a io , ct-7 Review Fee (due at time of submittal): Squares /7 °✓ BTU's Gallons Amps Sq Ft. $ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate, applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLEONE: �(,O/W�NER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: // /"k ` SIGNATURE: , DATE: DEPAFd7MEN1T USP ONLY � �- 5 >: r BUILb1NG bEPARTMEN'r.COMMENTS > � � 12eyiewer w PuaLicwoRKSOOMtwIET)7s- y �, ,� �: � OG�CUPANCY ` � i F112�oEPARTMENT l7approyedw /canments ❑ discp 'proved,�noreweWl'eg5tiled" 81dgValuation:$